Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.31 / $982.31 / $13,413.92	Facility		$791.31	$982.31	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $294.43 / $860.59	Professional		$121.20	$294.43	$860.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.43 / $457.43 / $540.15	Professional		$457.43	$457.43	$540.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.98 / $785.85 / $1,100.19	Facility		$165.98	$785.85	$1,100.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.08 / $844.20 / $1,134.38	Professional		$325.08	$844.20	$1,134.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.35 / $717.57 / $906.20	Professional		$541.35	$717.57	$906.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.98 / $785.85 / $1,100.19	Facility		$165.98	$785.85	$1,100.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $637.50 / $913.92	Professional		$251.60	$637.50	$913.92
United Facility/Professional Professional Modifier Low / Median / High Price $432.12 / $432.12 / $926.72	Professional		$432.12	$432.12	$926.72